Bow Tie Registering a Team?

Registering a Team?
Presenting Sponsor
Bow Tie
Go to to
register your team on-line OR to download
a team registration form. Teams can be
comprised of runners, marchers or both. The
highest fundraising team will receive – a
Wine Tasting Party compliments of Ciao
One More Great Way to
Register . . .
Host Site Sponsor
Supporting Sponsors
M a r ch
“For Men’s Cancer Awareness”
2014 Bow Tie March
& 5K Run
Don’t miss the KICK-OFF PARTY!!
Sponsored by:
June 7, 2014
Home Depot/Rockford, IL
7:30 am 5K Run Start
9:00 am March Start
Whether you are pre-registered or would like
to register this evening, you won’t want to
miss the party with great food and chances to
win prizes on Wednesday, May 7 from 5-7 pm.
Contributing Sponsors
Gibbons Electric
The Fit
Dean Foods
Lucha Cantina
Rockford Urological Associates
Rockford Bank & Trust
Savant Capital Management
Is there a physician or health care
professional that has played an important
role in your cancer journey? Invite them to
join you at the event. Pick up a March with
Your Doc invite at the Healing Pathways
office – 3921 E. State St., Suite D.
For more event information, including a 5K
route map, “Like” the Bow Tie Facebook
page or go to
Presenting Sponsor:
Special Thanks to:
Big Bang Baby
C&E Specialties
Cookies By Design
Ciao Bella
Midway Village & Museum Center
Mid-West Family Broadcasting
Northwest Quarterly
Rockford Christian Schools
Rockford Litho Center
Honorary Chair:
Sean Considine
2013 Super Bowl Champion
to benefit
What is the Bow Tie Event?
The 4th Annual Bow Tie Event was
developed by Healing Pathways Cancer
Resource Center to honor men who have
been touched by cancer. The Bow Tie Event
is an event for everyone! Bring family and
friends! This year’s event will include –
1.5 mile symbolic March
5K Run option
Registration for teams or individuals
Entertainment by Big Bang Baby
Wellness Fair & Survivors’ Tent
Childrens’ activities
Bow Tie Signs to honor someone special
Delicious food & great prizes!
Meet our Honorary Chair
This year’s
Honorary Chair,
Sean Considine,
will be running
in the 5K. Sean, a
Byron, IL native, is
a 2013 Baltimore
Ravens’ Super Bowl
What is Healing Pathways
Cancer Resource Center?
All event proceeds will benefit Healing
Pathways which is a 501 (c) 3 non-profit
organization that provides programs and
services, at no cost, to cancer patients,
cancer survivors and their caregivers.
For more information on
Healing Pathways go to
Event Details
Date – June 7, 2014
Location – Home Depot/Rockford, IL
Cost- $30.00 registration fee/per person
The March
¾¾ 1.5 mile symbolic March along the
Perryville path
¾¾ Registration/Check-In 8:00 am
¾¾ March Start Time – 9:00 am
The 5K Run
¾¾ 5K run connects with Midway
Village path and finishes along the
Perryville path
¾¾ Pre-Registered Check-In & Day of
Registration - 6:00-6:45 am
¾¾ Run Start Time – 7:30 am
¾¾ Runners are encouraged to stay for
the March
Register on-line
or use the attached form.
Early Check-in Night
June 5, 5-7:00 pm at Home Depot
To avoid lines the day of the event, runners
& marchers can stop by Home Depot to turn
in additional donations, receive running
bibs, t-shirts and event information.
$100 Challenge
Meet the challenge! Send your friends and
family to to
donate in your name. Raise just $100 and
your name will be entered in a drawing for
great prizes, including a Weber Grill with
complete BBQ set and awesome sauces! For
every additional $25 raised, your name will
be entered to win.
Individual Registration Form
Registration Fee: $30.00
Register by May 23 to guarantee receiving your t-shirt
the day of the event.
Team Name (if applicable)
Shirt Size
I am participating in the 5K
If yes - age you will be on day of event?
In Honor Of Sign Order:
Enclosed is my $20 donation for a Bow Tie Sign to
be placed along the event path. Name to appear on
sign: Total Dollar Amount $
A donation check is enclosed.
Visa Mastercard American Express
Card Number: Exp:
Security Code Signature:
Event Waiver
In consideration of being permitted to participate in the Bow Tie March
& 5K Run, on Saturday June 7, 2014 from 6:15 am until completion of
the event and activities, I along with my heirs, executors, administrators
and assigns hereby release and forever discharge Healing Pathways
Cancer Resource Center its officers, members, promoters, sponsors
and employees from any and all claims, demands, actions or rights of
action whatsoever kind or nature, either in law or in equity, arising from
or because of any bodily injury or personal injuries known or unknown,
death and/or property damage which may result from my participation
in the Men’s Bow Tie March. I further state that I have read the above
release, know the contents of the release and sign this release on my
own free act.
Signature (Parent/guardian signature required if under 18)
Return form to: Healing Pathways CRC, 3921 E. State
St. Suite D., Rockford Il 61108. Questions? 815-977-4123